Staging of uterine cervical cancer with MRI: guidelines of the European Society of Urogenital Radiology
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Corinne Balleyguier & E. Sala & T. Da Cunha & A. Bergman & B. Brkljacic & F. Danza & R. Forstner & B. Hamm & R. Kubik-Huch & C. Lopez & R. Manfredi &
- چاپ و سال / کشور: 2010
Description
Objective: To design clear guidelines for the staging and follow-up of patients with uterine cervical cancer, and to provide the radiologist with a framework for use in multidisciplinary conferences. Methods: Guidelines for uterine cervical cancer staging and follow-up were defined by the female imaging subcommittee of the ESUR (European Society of Urogenital Radiology) based on the expert consensus of imaging protocols of 11 leading institutions and a critical review of the literature. Results: The results indicated that high field Magnetic Resonance Imaging (MRI) should include at least two T2-weighted sequences in sagittal, axial oblique or coronal oblique orientation (short and long axis of the uterine cervix) of the pelvic content. Axial T1-weighted sequence is useful to detect suspicious pelvic and abdominal lymph nodes, and images from symphysis to the left renal vein are required. The intravenous administration of Gadolinium-chelates is optional but is often required for small lesions (<2 cm) and for follow-up after treatment. Diffusion-weighted sequences are optional but are recommended to help evaluate lymph nodes and to detect a residual lesion after chemoradiotherapy. Conclusions: Expert consensus and literature review lead to an optimized MRI protocol to stage uterine cervical cancer. MRI is the imaging modality of choice for preoperative staging and follow-up in patients with uterine cervical cancer.
Eur Radiol (2011) 21:1102–1110 DOI 10.1007/s00330-010-1998-x Received: 27 July 2010 / Revised: 29 September 2010 / Accepted: 1 October 2010 / Published online: 10 November 2010
